Facility Evaluation Report

On 08/14/2024 at 9:30am, Licensing Program Analyst (LPA) Zina Brown and Janae Hammond conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with the Stephanie Smith and the purpose of today’s visit was explained. The facility is licensed to operate for (0) ambulatory, (3) non-ambulatory, (0) bedridden (developmentally disabled or Mentally Ill) adults ages 18 through 59. Currently, the home has (3) clients. The clients are (Harbor Regional Center) clients. None the clients have Restricted Health Care Conditions and none are utilizing postural supports or protective devices.

The facility is a two (2) story home located in a residential neighborhood. The property consists of the following: three (3) client bedrooms, 2 common bathrooms, staff office, living room, kitchen, dining room, attached garage, a washer and a dryer and an outdoor shaded area.

LPA conducted a records review of (3) client records, (5) staff records, (3) clients Personal & Incidental Records and reviewed the facility disaster plan. All client & staff records were complete. The facility disaster plan was current and in compliance with Title 22 at the time of visit. LPA reviewed (3) Client Medication Administrations Records and did not observed any discrepancies at the time of visit.

At 9:45am LPA and Stephanie Smith toured the inside and outside of the facility. All client rooms were checked. Mattresses and box springs were in good condition, adequate lighting was observed , plenty of dresser and closet space was observed. Walls and floors were clean and in good repair. Bed linens, comforters and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulation. Toilets and water faucets worked properly. Shower was free of mold/mildew, there is adequate lighting, and sufficient toiletries accessible to clients. The water temperature properly measured between 105-120F ( Bathroom #1 : 113.0F) & Bathroom #2: 114.3F).